answer questions for : HCA 6913 Graduate Seminar – Healthcare Payor Entities Mod

answer questions for :
HCA 6913 Graduate Seminar – Healthcare Payor Entities
Module Eight
Study Questions
Value-Based Care Plans
Article: Value Based Purchasing vs. Pay for Performance
1)Describe the basic difference between Value Based Purchasing and Pay for Performance.
2)Using the premise defined in the previous question, what type of Home Health Agency would a Value Based Purchasing model prefer? Why?
Article: What is Value-Based Healthcare?
3)Define Value-Based Healthcare.
4)Describe the benefits of a Value-Based Healthcare system to patients, providers, payers, suppliers and society.
5)Describe two examples of how Value-Based Healthcare is translating to new delivery models.
Article: Value-Based Health Care Delivery
6)Explain how organizing around medical conditions covering the full cycle of care can achieve better outcomes.
7)Describe how the author suggests value should be measured (treatment versus outcomes).
Article: Value-Based Pricing and Reimbursement
8) Explain the basic difference between pricing and reimbursement.
9)The authors argue that to meet the objective of optimal innovation, payers should aim to send clear signals to their providers/suppliers about what they value. How do payers accomplish this?